Get Community Portal Access Request Form

This guide provides detailed instructions on how to complete the Community Portal Access Request Form online. Whether you are a first-time user or familiar with the process, this resource will help you navigate each section of the form effectively.

Follow the steps to fill out the Community Portal Access Request Form

1. Press the ‘Get Form’ button to obtain the Community Portal Access Request Form and open it in the online editor.
2. Begin by entering the name of your organization in the designated field.
3. Provide the organization's address, including city, state, and zip code.
4. Enter the organization's website and phone number.
5. Input your Tax ID number in the specified field.
6. Fill in the primary contact's name, email, and title.
7. In Section 1, select the type(s) of access you are requesting: Customer Inquiry, Messaging, or RIO. Remember to choose all that apply.
8. Briefly describe how your organization plans to utilize the Community Portal in the provided space.
9. If you selected Customer Inquiry access, complete Section 2. Answer whether your organization receives funding from FCDJFS and provide details if applicable.
10. If your organization does not receive funding, describe how you will meet the Community Partner criteria and attach any necessary documentation.
11. In Section 3, complete the details for staff who will access the Community Portal, including their first and last name, title, email, and phone number.
12. Indicate if the person will serve as an administrator, ensuring to select no more than two administrators for your agency.
13. Finally, the Executive Director or CEO must sign, print their name and title, and provide the date.
14. After completing the form, save any changes, then download, print, or share the form as necessary.

Complete your Community Portal Access Request Form online today.